Active NPI
David B Evans, MD
- Gynecology Physician
- Carlisle, PA
National Provider Identifier
1649254889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- MD009996E
- Practice address
- 850 Walnut Bottom Rd
Ste 302
Carlisle, PA 17013-3632 - Phone
- (717) 258-5150
- Fax
- (717) 258-3392
- NPI assigned
- Dec 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | MD009996E | PA | Primary |
Addresses
Primary practice location
850 Walnut Bottom Rd
Ste 302
Carlisle, PA 17013-3632
Mailing address
850 Walnut Bottom Rd
Ste 302
Carlisle, PA 17013-3632
Phone (717) 258-5150
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01388901 | Other | BLUE CROSS | |
| 0006564200001 | Medicaid | PA | |
| 018603 | Other | HIGMARK BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD009996E | PA | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Belvedere Medical Corporation | Past | Accepting new patients | |
| Belvedere Medical Corporation | Gynecology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Gynecology Physician
- Carlisle, PA
- NPI 1013926757
-
- Neurology Physician
- Carlisle, PA
- NPI 1356489439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193961600000",
"number": "1649254889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 WALNUT BOTTOM RD",
"address_2": "STE 302",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170133632",
"telephone_number": "717-258-5150",
"fax_number": "717-258-3392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 WALNUT BOTTOM RD",
"address_2": "STE 302",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170133632",
"telephone_number": "717-258-5150",
"fax_number": "717-258-3392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "DAVID",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2007-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "PA",
"license": "MD009996E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "01388901",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006564200001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGMARK BLUE SHIELD",
"identifier": "018603",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Carlisle, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.